Öz
Kaynakça
- Annat G, Viale JP, Percival C, Froment M, Motin J. Oxygen delivery and uptake in the adult respiratory distress syndrome. Lack of relationship when measured independently in patients with normal blood lactate concentrations. Am Rev Respir Dis. 1986 Jun;133(6):999-1001. doi: 10.1164/arrd.1986.133.6.999. PMID: 3521420.
- Gilbert EM, Haupt MT, Mandanas RY, Huaringa AJ, Carlson RW. The effect of fluid loading, blood transfusion, and catecholamine infusion on oxygen delivery and consumption in patients with sepsis. Am Rev Respir Dis. 1986 Nov;134(5):873-8. doi: 10.1164/arrd.1986.134.5.873. PMID: 3777684.
- Jubran A, Tobin MJ. Monitoring during mechanical ventilation. Clin Chest Med. 1996 Sep;17(3):453-73. doi: 10.1016/s0272-5231(05)70327-0. PMID: 8875007.
- Tremper KK, Barker SJ. Pulse oximetry. Anesthesiology. 1989 Jan;70(1):98-108. doi: 10.1097/00000542-198901000-00019. PMID: 2643368.
- Androgue HJ, Tobin MJ. Respiratory Failure. 1st ed. USA: Black well Science Ltd, 1997.
- Jubran A. Pulse oximetry. In: Tobin MJ (ed). Principles and Practice of Intensive Care Monitoring. New York: Mc GrawHill, 1998:261-87
- Kacmarek RM. Indications for ventilatory support. In: Raoof S, Khan FA (eds). Mechanical Ventilation Manuel. 1st ed. Philadelphia: Versa Press, 1998:3.
- Lima A, van Bommel J, Jansen TC, Ince C, Bakker J. Low tissue oxygen saturation at the end of early goal-directed therapy is associated with worse outcome in critically ill patients. Crit Care. 2009;13 Suppl 5(Suppl 5):S13. doi: 10.1186/cc8011. Epub 2009 Nov 30. PMID: 19951385; PMCID: PMC2786115.
- Leone M, Blidi S, Antonini F, Meyssignac B, Bordon S, Garcin F, et al. Oxygen tissue saturation is lower in nonsurvivors than in survivors after early resuscitation of septic shock. Anesthesiology. 2009 Aug;111(2):366-71. doi: 10.1097/ALN.0b013e3181aae72d. PMID: 19602965.2009
- Shapiro NI, Arnold R, Sherwin R, O'Connor J, Najarro G, Singh S, et al. Emergency Medicine Shock Research Network (EMShockNet). The association of near-infrared spectroscopy-derived tissue oxygenation measurements with sepsis syndromes, organ dysfunction and mortality in emergency department patients with sepsis. Crit Care. 2011;15(5):R223. doi: 10.1186/cc10463. Epub 2011 Sep 22. PMID: 21939529; PMCID: PMC3334769.
- Raoof S. Objectives of mechanical ventilation. In: Raoof S, Khan FA (eds). Mechanical Ventilation Manuel. 1st ed. Philadelphia: Versa Press, 1998:4-5.8
- Kır B., Bilgili B., Cinel İ., Mixed venous oxygen saturation and clinical significance ; Journal of Anestesthesia 2014; 22 (4): 181 – 185
- Colin G, Nardi O, Polito A, Aboab J, Maxime V, Clair B, et al. Masseter tissue oxygen saturation predicts normal central venous oxygen saturation during early goal-directed therapy and predicts mortality in patients with severe sepsis. Crit Care Med. 2012 Feb;40(2):435-40. doi: 10.1097/CCM.0b013e3182329645. PMID: 22020233.
Öz
Aim
The aim of this study is to investigate whether the follow-up of patients on a mechanical ventilator using a tissue oxygenation device is superior to that using an O2 saturation probe.
Method
Our study was conducted at the Necmettin Erbakan University Meram Medical School Emergency Medicine Critical Care Unit between 01/04/2016 and 01/06/2016. Patients over the age of 18, non-pregnant, and followed up on mechanical ventilators were prospectively recruited, and the saturations of the patients with tissue oxygenation devices and pulse oximetry were evaluated and compared. SPSS (ver. 19.0) was used for the statistical analysis of the collected data, and the descriptive measures of all the obtained variables were calculated.
Results
The collected data revealed a statistically significant positive correlation between oxygen saturation measured by pulse oximetry and tissue oxygen saturation (StO2) in the patient group (n = 53), in which deceased and discharged patients were evaluated together. Both the hemoglobin levels and StO2 were low in the sepsis patients.
Conclusion
It is important to follow tissue perfusion in intensive care patients, and this can be done with a noninvasive method. The results of our study reveal that perfusion should be followed with tissue oxygenation in patients on mechanical ventilators because low tissue oxygenation indicates increased patient mortality.
Anahtar Kelimeler
saturation tissue oxygenation mechanical ventilator hypoperfusion
Kaynakça
- Annat G, Viale JP, Percival C, Froment M, Motin J. Oxygen delivery and uptake in the adult respiratory distress syndrome. Lack of relationship when measured independently in patients with normal blood lactate concentrations. Am Rev Respir Dis. 1986 Jun;133(6):999-1001. doi: 10.1164/arrd.1986.133.6.999. PMID: 3521420.
- Gilbert EM, Haupt MT, Mandanas RY, Huaringa AJ, Carlson RW. The effect of fluid loading, blood transfusion, and catecholamine infusion on oxygen delivery and consumption in patients with sepsis. Am Rev Respir Dis. 1986 Nov;134(5):873-8. doi: 10.1164/arrd.1986.134.5.873. PMID: 3777684.
- Jubran A, Tobin MJ. Monitoring during mechanical ventilation. Clin Chest Med. 1996 Sep;17(3):453-73. doi: 10.1016/s0272-5231(05)70327-0. PMID: 8875007.
- Tremper KK, Barker SJ. Pulse oximetry. Anesthesiology. 1989 Jan;70(1):98-108. doi: 10.1097/00000542-198901000-00019. PMID: 2643368.
- Androgue HJ, Tobin MJ. Respiratory Failure. 1st ed. USA: Black well Science Ltd, 1997.
- Jubran A. Pulse oximetry. In: Tobin MJ (ed). Principles and Practice of Intensive Care Monitoring. New York: Mc GrawHill, 1998:261-87
- Kacmarek RM. Indications for ventilatory support. In: Raoof S, Khan FA (eds). Mechanical Ventilation Manuel. 1st ed. Philadelphia: Versa Press, 1998:3.
- Lima A, van Bommel J, Jansen TC, Ince C, Bakker J. Low tissue oxygen saturation at the end of early goal-directed therapy is associated with worse outcome in critically ill patients. Crit Care. 2009;13 Suppl 5(Suppl 5):S13. doi: 10.1186/cc8011. Epub 2009 Nov 30. PMID: 19951385; PMCID: PMC2786115.
- Leone M, Blidi S, Antonini F, Meyssignac B, Bordon S, Garcin F, et al. Oxygen tissue saturation is lower in nonsurvivors than in survivors after early resuscitation of septic shock. Anesthesiology. 2009 Aug;111(2):366-71. doi: 10.1097/ALN.0b013e3181aae72d. PMID: 19602965.2009
- Shapiro NI, Arnold R, Sherwin R, O'Connor J, Najarro G, Singh S, et al. Emergency Medicine Shock Research Network (EMShockNet). The association of near-infrared spectroscopy-derived tissue oxygenation measurements with sepsis syndromes, organ dysfunction and mortality in emergency department patients with sepsis. Crit Care. 2011;15(5):R223. doi: 10.1186/cc10463. Epub 2011 Sep 22. PMID: 21939529; PMCID: PMC3334769.
- Raoof S. Objectives of mechanical ventilation. In: Raoof S, Khan FA (eds). Mechanical Ventilation Manuel. 1st ed. Philadelphia: Versa Press, 1998:4-5.8
- Kır B., Bilgili B., Cinel İ., Mixed venous oxygen saturation and clinical significance ; Journal of Anestesthesia 2014; 22 (4): 181 – 185
- Colin G, Nardi O, Polito A, Aboab J, Maxime V, Clair B, et al. Masseter tissue oxygen saturation predicts normal central venous oxygen saturation during early goal-directed therapy and predicts mortality in patients with severe sepsis. Crit Care Med. 2012 Feb;40(2):435-40. doi: 10.1097/CCM.0b013e3182329645. PMID: 22020233.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Clinical Research |
| Yazarlar | |
| Yayımlanma Tarihi | 29 Ekim 2022 |
| Gönderilme Tarihi | 21 Haziran 2022 |
| Kabul Tarihi | 10 Temmuz 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 39 Sayı: 4 |
Kaynak Göster
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